ANDREA ROSE QUINN (LCSW) – Clinical Social Worker, NPI 1114688249

ANDREA ROSE QUINN (LCSW) is a healthcare provider. based in Galesburg, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149022991 (IL). The NPI Number for ANDREA ROSE QUINN (LCSW) is 1114688249

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA ROSE QUINN (LCSW)
NPI
1114688249
Phone
(309) 343-5114
Address
3375 N SEMINARY ST
Enumeration Date
30 December 2021
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093435114
Graduation Year
2006 (20 years ago)
PAC ID
0648652503
Group Practice PAC ID
8628038015
Professional Enrollment ID
I20220809002460
Address ID
IL614011251GA3375XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for ANDREA ROSE QUINN (LCSW)

  • 3375 N SEMINARY ST

    GALESBURG, IL 614011251

    Phone: (309) 343-5114

    Type: Location

  • 269 GAYMAN CT

    AVON, IL 614159024

    Phone: (309) 229-6152

    Type: Mailing

  • 834 NORTH SEMINARY STREET

    SUITE 405

    GALESBURG, IL 61401

    Phone: (309) 344-9444

    Fax: (309) 717-0124

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220809002460IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628038015View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerIL
-IL
-IL
Family PracticeIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Certified Nurse Midwife (Cnm)IL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What NPI should I save for ANDREA ROSE QUINN (LCSW)?
Save NPI 1114688249 if you need a stable reference for ANDREA ROSE QUINN (LCSW).
Is ANDREA ROSE QUINN (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ANDREA ROSE QUINN (LCSW) treat or focus on?
Patients typically see ANDREA ROSE QUINN (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is ANDREA ROSE QUINN (LCSW)'s primary listing?
We display Galesburg, Illinois because that is what the record indicates for ANDREA ROSE QUINN (LCSW).
Is ANDREA ROSE QUINN (LCSW) a real provider?
This page reflects official NPPES data for NPI 1114688249. Always confirm identity and privileges with the practice and licensing boards.

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